| Quantity | Item # | Description | Size,Color,etc | Unit Price | Total Price |
Sub Total |
|||||
Shipping |
$6.00 | ||||
Tax (Florida Residents use Local Rate) |
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Grand Total |
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| Name | |
| Street Address | |
| City | |
| State and Zip Code | |
| Phone Number | |
| E-mail Address |
| Credit Card # (Visa,MC,AMEX) | |
| Expiration Date | |
| Name on Credit Card | |
| Billing Street Address | |
| Billing State and Zip Code | |
| Customer Signature |
Print and fill out application. If payment is by check or money order make out to: Hans Zimpel. If payment is by Credit Card fill our Credit Card Customer Information section of the form. Send order to:
Keys Tees
689 Crane Blvd.
Sugarloaf Key, FL 33042
Questions? Call (305) 745-8968
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